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Delaware’s health marketplace

How hard is Delaware fighting to preserve the Affordable Care Act’s provisions? Compare to other state efforts.

Delaware operates its health insurance marketplace, Choose Health Delaware, in partnership with the federal government. Given the state’s small population, state officials deemed this model as most financially prudent. Additionally, Delaware expanded Medicaid under the Affordable Care Act.

Short-term health insurance in Delaware

Delaware health ratings

In 2019, the Scorecard on State Health System Performance ranked Delaware 27th in the nation for overall health. See Delaware’s scorecard for the state’s performance for a detailed look at its performance. Low percentages of uninsured adults and children and few at-risk adults without a routine doctor visit in the past two years were among positive indicators.

How has Obamacare helped Delawareans?

Delaware already had a lower-than-average uninsured rate prior to ACA implementation, with 9.1 percent of the state’s population uninsured in 2013 (as opposed to 14.5 percent nationwide). By 2018, the uninsured rate in the state had dropped to 5.7 percent, according to US Census data.

Total Medicaid and CHIP enrollment grew by 10 percent in Delaware from late 2013 through the end of 2019. Nationwide, Medicaid/CHIP enrollment increased by 26 percent during that time, even accounting for the 15 states that did not expand Medicaid. But Delaware’s average household income is higher than the U.S. average, so relatively few people in the state are eligible for Medicaid.

Medicare in the state of Delaware

Delaware residents can enroll in private Medicare Advantage plans instead of Original Medicare. But in 2017, about 11 percent of all Delaware Medicare recipients selected a Medicare Advantage plan, compared with 31 percent nationwide.

About 64 percent of the state’s Medicare enrollees selected a Medicare Part D plan for standalone prescription drug coverage, a number well above the 45 percent national average.